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1104273150
DYLAN BRANDENBURG
SPEARFISH, SD
NPI
1104273150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- DYLAN BRANDENBURG
144 N. MAIN ST.
SPEARFISH, SD 57783
Phone number: 605-644-6141
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Mailing Address
-- DYLAN BRANDENBURG
144 N. MAIN ST.
SPEARFISH, SD 57783
Phone number: 605-644-6141
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ACUPUNCTURE OF THE BLACK HILLS, LLC
CHRIS PAUL ORMSETH